Evidence map›Paper›PMID 34233645›Full record

ArticleBMC public health2021

Current practices of waste management in teaching hospitals and presence of incinerators in densely populated areas.

Salma Khalid, Najibul Haq, Zia-Ul-Ain Sabiha, Abdul Latif, Muhammad Amjad Khan, Javaid Iqbal, Nowsher Yousaf

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
5.1field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 34 citations in OpenAlex.

  1. Smart waste bin monitoring using IoT for sustainable biomedical waste management.Environmental science and pollution research international · 2025
    Article
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  3. Article
  4. Article
  5. Article
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  7. Effective Medical Waste Management for Sustainable Green Healthcare.International journal of environmental research and public health · 2022
    Review
  8. Article
  9. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Salma KhalidPrime Institute of Public Health, Prime Foundation, Riphah International University, Islamabad, Pakistan. anagalious_79@yahoo.com.
Najibul HaqDepartment of Medicine, Peshawar Medical College, Prime Foundation, Riphah International University, Islamabad, Pakistan.
Zia-Ul-Ain SabihaDepartment of Community Health Sciences, Peshawar Medical College, Prime Foundation, Riphah International University, Islamabad, Pakistan.
Abdul LatifPrime Institute of Public Health, Prime Foundation, Riphah International University, Islamabad, Pakistan.
Muhammad Amjad KhanDepartment of Environmental Sciences, University of Peshawar, Peshawar, Pakistan.
Javaid IqbalDepartment of Environmental Sciences, University of Peshawar, Peshawar, Pakistan.
Nowsher YousafDepartment of Environmental Sciences, University of Peshawar, Peshawar, Pakistan.
Riphah International University · PKUniversity of Peshawar · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHospital waste management (HWM) practices are the core need to run a proper health care facility. This study encompasses the HWM practices in teaching hospitals of Peshawar, Pakistan and examine the enforcement of Pak HWM (2005) rules and risks through transmission of pathogens via blood fluids, air pollution during waste incineration and injuries occurring in conjunction with open burning and dumping.

methodsA questionnaire based on World Health Organization (WHO) recommendations was used to survey the selected private and public teaching hospital (n = 16). Site visits and personnel observations were also included in the data. It was spatio-statistically analyzed using descriptive statistics, Krushkal-wallis and Fisher's exact tests.

resultsThe findings revealed that the lack of HWM practices in all surveyed hospitals (p > 0.05), besides statistical difference (p < 0.017) in waste generation/day. No proper segregation of waste from generation point to final disposal was practiced. However, the performance of private teaching hospitals (50%) was found better in terms of HWM personnel and practices. In surveyed hospitals, only nine hospitals (56.3%) were found with the incinerator facility while rest of the hospitals (43.7%) practiced open dumping. Moreover, operational parameters of the incinerators were not found satisfactory and located in densely populated areas and emitting hazardous gases.

conclusionProper HWM practices are not being followed in the light of WHO guidelines. Hospital waste impose serious menace to healthcare workers and to nearby population. WHO issued documents for improving HWM practices but triggered no change in Pakistan. To improve the situation, insights in this context is need for enforcement of rules.

Indexed as

Medical Waste DisposalWaste ManagementHospitals, TeachingHumansIncinerationPakistanMedical Waste DisposalCurrent practicesHealth risksIncineratorsPeshawarPopulated areasTeaching hospitals

Identifiers

PMID34233645
PMCPMC8262056
OpenAlexW3135339017

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.